Clarifying barriers of access to sexually transmitted disease prevention services and medical services among sexual minorities

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K11027
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Nagoya City University
• Principal Investigator: Kaneko Noriyo 名古屋市立大学, 大学院看護学研究科, 教授 (50335585)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: トランスジェンダー / LGBTQ / 性別違和 / 医療アクセス / 援助希求行動 / ゲイバイセクシュアル男性 / メンタルヘルス

Outline of Final Research Achievements

The survey targeting transgender received 484 responses; 48% of the participants had experienced hesitation in accessing health care when they were sick. The study also showed that transgender people experienced various experiences of discrimination in the medical field due to their sexuality, which subsequently hindered their access to medical care.
In a survey of gay bisexual men, 22.8% had sought help for emotional support, and their experiences were associated with having a gay/bisexual friend at the time they became aware of their sexual orientation, taking less than one year from questioning to becoming aware of their sexual orientation, and coming out to family members.

Free Research Field

健康行動学

Academic Significance and Societal Importance of the Research Achievements

トランスジェンダー/性別違和当事者における医療アクセスに焦点を当てた国内の実態調査は非常に限られている。400件を超す当事者からの回答を得て、体調不良時に医療サービスの利用を諦めた経験が48％に上ることを示した。また当事者がより医療を使いやすくなるよう、医療従事者、医療現場に望むことも示すことが可能となった。結果は冊子にもまとめ、様々な医療保健従事者対象の研修会で活用している。
また、ゲイバイセクシュアル男性が、自身の性的指向を自認した時期に、セクシャリティに関する心配事についての援助希求行動の実態も示し、必要な対策についての提言につなげることが可能となった。